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Controlled & Affiliated Service Groups: Issues and Implications for Employee Benefit Plans

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(1)

Controlled & Affiliated Service Groups:

Issues and Implications for Employee Benefit Plans

Presented By Matt Stiles & Matthew Cannova Maynard Cooper & Gale, P.C. March 1, 2016

(2)

Agenda

Benefits - Where We Are

Treatment as One “Employer” – Why It Matters

Controlled Group Rules

Affiliated Service Group Rules

Implications for Employee Benefit Plans

(3)

Benefits – Where We Are

Race for the White House

ACA Implications?

Partial/Total Repeal?

HIPAA – OCR Issues $240,000 civil money penalty against covered entity

Failure to develop and implement policies and

procedures to protect PHI removed from its offices

Failure to reasonably safeguard individuals’ PHI, and

Allowed unauthorized individual to access PHI

(4)

Treatment as One “Employer” – Why It Matters

Separate employers that constitute a controlled group or affiliated service group are treated as one employer for various benefits and tax purposes

Frequently missed or misunderstood

Familial and Organizational Ownership Attribution Rules

Implications include

Qualified retirement plan implications

Health and welfare benefit considerations

(5)

Types of Controlled Groups

Parent-Subsidiary Groups

One or more chains connected by ownership with common parent and parent owns at least 80% of one other

organization

Brother-Sister Groups

The same five or fewer individuals own at least an 80% controlling interest in two or more companies and have effective control of the companies

Combined Parent-Subsidiary and Brother-Sister Groups.

Three or more organizations are each a member of either a parent-subsidiary or a brother-sister group, and

One entity is the common parent of a parent-subsidiary group and is also a member of a brother-sister group

(6)

Types of Affiliated Service Groups

A-Organizations

First Service Organization (FSO) + a service organization (the A-Org) that is a shareholder or partner in the FSO and that either:

regularly performs services for the FSO, or

is regularly associated with the FSO in performing services for

third parties

B-Organizations

First Service Organization + another organization (the B-Org) and the following tests are satisfied:

Working Relationship Test - A significant portion of the business of

the B-Org is the performance of services (of a type historically performed by employees in the service field of the FSO) for the FSO

Ownership Test - 10% or more of the interests in the B-Org are held

(7)

Types of Affiliated Service Groups

First Service Organization - Defined

The performance of services is the principal business of the organization (i.e., capital is not a material income-producing factor for the organization)

Per se service fields: Health, Actuarial Science, Law,

Performing Arts, Engineering, Consulting, Architecture, Insurance, and Accounting

Management Organizations

An organization for which the principal business is performing management functions on a regular and continuing basis for a recipient organization (and related organizations)

(8)

Retirement Plan Implications

The controlled and affiliated service group rules affect many requirements for qualified retirement plans

The rules often require plans to consider

All plans maintained by employers in a combined group

All employees of and compensation paid by employers in a combined group

A participant’s services performed for all employers in a combined group

(9)

Retirement Plan Implications

Nondiscrimination Testing

Compensation Limits under Code § 401(a)(17) ($265,000 for 2016)

Eligibility and Vesting – Important with employee transfers, including transfer to employer with

separate plans or no plans

Minimum Participation for Qualified Defined Benefit Plans

Code § 415 Compensation Definition and Maximum Contribution/Benefit limits

(10)

Retirement Plan Implications

Required Minimum Contributions to Pension Plans and Related Taxes

All liability for both funding and excise tax obligations may be assessed against any member of the combined group

Simplified Employee Pension Plans (SEPs) and Savings Incentive Match Plans (SIMPLEs)

All members of a combined group are treated as one employer for purposes of eligibility and required

contributions

(11)

Health & Welfare Plan Implications

COBRA

Which employers are covered and whether an

employer is eligible for the small employer

exemption from COBRA liability

Determining COBRA obligations in mergers and

acquisitions

Small or Large Group Market

Employees of all employers in the same controlled

group or affiliated service group are considered in

determining whether the small group rules apply

(12)

Health & Welfare Plan Implications

Nondiscrimination for Self-Funded Group

Health Plans

Remember: Nondiscrimination rules for

fully-insured plans still pending

Cafeteria Plans

Determining which employees may participate in

an employer's cafeteria plan

Cafeteria plan nondiscrimination rules

(13)

ACA Implications – Employer Mandate

Employers in a controlled group or

affiliated service group are treated as one

“ALE Group”

Each separate employer is an “ALE

Member” – generally based on FEIN

ALE Status

Hours of Service

(14)

ACA Implications – ACA Reporting

1094-C - Must indicate if you were a member of an

Aggregated ALE Group during any month of the

calendar year (even if only part of one or more

calendar months)

Reporting ALE Group on the 1094-C:

Indicate “yes” in Line 21

Check the box in Column (d) of Part III for the applicable month(s)

List the other members in Part IV

(15)

Reporting Your “Aggregated ALE Group” on the

1094-C

1

3

(16)

MEWA Implications

Misunderstanding of controlled group status often causes unintentional creation of MEWA

Common Scenarios

Plans maintained by one employer or a group of employers under common control

Plans maintained by groups or associations of unrelated employers

Plans maintained by employee leasing organizations

M-1 obligations

ERISA exemptions to state insurance laws may not apply

Self-Funded vs. Fully-Insured MEWAs

(17)

Copyright 2016 Maynard Cooper & Gale PC. All rights reserved. Reproduction or use of these materials, including forin-house training, without authorization of the authors is prohibited.

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